{"ok":true,"nota":{"id":"7e8cb6b77b90983f","slug":"en-urgencias-pacientes-con-bajo-riesgo-de-sepsis-se-pueden-identificar-7e8cb6","titulo":"En urgencias, pacientes con bajo riesgo de sepsis se pueden identificar por datos básicos y diagnósticos","resumen":"Revisaron historias clínicas electrónicas de cinco hospitales de Nueva York entre 2022 y 2024 de pacientes de urgencias que entraron a un protocolo de sepsis. Buscaron qué características se asociaban con una evolución favorable, como internación corta o no pasar por terapia intensiva.","fuente":"medrxiv","fuenteNombre":"medRxiv · preprints","color":"#1f7a4d","autor":"Wyler, B., Yang, C., Sondheim, S. E., Lanigan, M., Serrato-Guillen, A., Shapiro, N. I., Mazumdar, M., Merchant, R. C.","url":"https://www.medrxiv.org/content/10.64898/2026.10.21.26366119v1?rss=1","imagen":"/hoy/portada/7e8cb6b77b90983f","tema":"salud","subtemas":["sepsis","urgencias","historia clinica electronica","gestion hospitalaria","riesgo clinico"],"entidades":["Nueva York","sistemas hospitalarios de Nueva York"],"formato":"dato","entretenimiento":false,"pubTs":"2026-10-24T00:00:00.000Z","indexTs":"2026-10-24T16:59:18.926Z","hash":"97d47f34fbadcf6f33b06ecd99cea97af737fc6baa23818d6b7ecb5c3606d667","tsa":{"time":"Oct 24 16:59:41 2026 GMT","provider":"freetsa.org","sobre":"sello"},"stats":{"views":0,"likes":0,"clicks":0,"dwell":0},"tipo":"normal","registro":"hallazgo","porQueImporta":"La sepsis es una emergencia grave, y tratar como crítico a alguien que en realidad no lo es consume camas y recursos que hacen falta en otro lado. Identificar perfiles de bajo riesgo podría permitir bajar la intensidad del protocolo en algunos casos y ordenar mejor la guardia. Para un hospital argentino, la lectura es que la decisión de intensidad puede apoyarse en datos ya cargados en la historia clínica. El estudio es retrospectivo y de un solo sistema urbano, así que no sirve todavía como regla para desescalar a nadie.","quienFirma":"Hospitales de Nueva York (cinco centros urbanos)","confianza":"preprint","consulta":null},"sello":{"hash":"97d47f34fbadcf6f33b06ecd99cea97af737fc6baa23818d6b7ecb5c3606d667","sello":"05cb026bcc2a358a69921631ef43e5f8d30dc283ae4da3ec499aefc815d7ab6a","beacon":{"drand":{"cadena":"8990e7a9aaed2ffed73dbd7092123d6f289930540d7651336225dc172e51b2ce","ronda":6581004,"aleatorio":"18fa3ebd0d23e51eddcfd942bf92bbc809cc6eeb0ce5c2a97021a740f6fe817b","tiempo":"2026-10-24T16:59:00.000Z"},"nist":{"cadena":2,"pulso":1997695,"salida":"2AC2AD0FD15EA4B557A3E6116D19A7A248B9BE4CD68ECAF85135A44A079725445FC9BE22BDB61B93C43C9F1673D19E58C8A772BD4555DCB4851540739CADD210","tiempo":"2026-10-24T16:58:00.000Z"},"noAntes":"2026-10-24T16:59:00.000Z"},"verificacion":{"drand":true,"nist":true},"tsa":{"time":"Oct 24 16:59:41 2026 GMT","provider":"freetsa.org","sobre":"sello"},"original":{"titulo":"Low-risk Features of Emergency Department Patients on a Sepsis Pathway: A Retrospective Cohort Study","descripcion":"Introduction For adult emergency department (ED) patients initiated on a sepsis care pathway, we sought to identify patient factors associated with favorable clinical and operational outcomes that could help identify patients potentially eligible for sepsis care de-escalation. Methods We conducted a retrospective cohort study using an electronic health record (EHR) data query from five hospitals in New York City (2022-2024). Multivariable logistic regression models were used to evaluate association of patient demographics, clinical characteristics, and ED diagnoses with four favorable reference outcomes: shorter hospital length of stay (HLOS), no intensive care unit (ICU) stay, survival to d","pubDate":"2026-10-24","url":"https://www.medrxiv.org/content/10.64898/2026.10.21.26366119v1?rss=1"},"indexado":"2026-10-24T16:59:18.926Z"}}